Development of the Nursing Quality Improvement in Practice Tool

Tschannen, Dana; Alexander, Catherine; Tovar, Elizabeth; Ghosh, Bidisha; Zellefrow, Cindy; Milner, Kerry A.

doi:10.1097/ncq.0000000000000457

Cited by 8 publications

(11 citation statements)

References 15 publications

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“…Nurses who participated in a pilot study to test the Nursing Quality Improvement (N‐QuIP) survey measuring QI competence and engagement (Tschannen et al, 2020) were approached for this study. The final question on the pilot N‐QuIP survey asked nurses if they would be willing to participate in a focus group to understand the barriers and facilitators of QI engagement.…”

Section: Methodsmentioning

confidence: 99%

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A qualitative study on barriers and facilitators of quality improvement engagement by frontline nurses and leaders

Alexander

Tschannen

Argetsinger

et al. 2022

J Nursing Management

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Aim: This study aimed to understand the facilitators and barriers of quality improvement (QI) from the perspective of nurses and leaders at the frontline.Background: Nurse engagement in QI has been associated with quality care and improved patient outcomes, yet nurse reported participation is low.Methods: A descriptive qualitative design and purposive sampling was used to examine barriers and facilitators of nurse engagement.Results: Facilitators (1) A leader's influence on a QI culture. Subthemes: creating buy-in, support of a just culture and working in partnership with nurses. Barriers(1) Barriers in organizational culture for nurses to lead QI. Subthemes: organizational hierarchy, absence of a just culture, nurses' role not valued, lack of accountability for QI in nursing role and resistance to change. (2) Barriers in organisational structure for nurses to lead QI. Subthemes: manager disengagement, time pressures, lack of access to timely data, lack of QI knowledge, siloed departments and lack of QI experts. Conclusion:Barriers to QI engagement prevent nurses from fully engaging in QI. Creating a just culture and building the infrastructure to support nurse engagement is critical for success.Implications for Nursing Management: Specific facilitators and barriers were identified that nurse leaders can assess in their practice setting and use relevant strategies to support engagement in QI.

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Section: Methodsmentioning

confidence: 99%

“…Nurses who participated in a pilot study to test the Nursing Quality Improvement (N-QuIP) survey measuring QI competence and engagement (Tschannen et al, 2020) were approached for this study.…”

Section: Sampling and Recruitmentmentioning

confidence: 99%

A qualitative study on barriers and facilitators of quality improvement engagement by frontline nurses and leaders

Alexander

Tschannen

Argetsinger

et al. 2022

J Nursing Management

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“…The tool also collects demographic data and assesses perceived barriers and facilitators to QI engagement. Preliminary testing has indicated that the tool has good reliability and validity 13…”

Section: Methodsmentioning

confidence: 99%

“…The Nursing Quality Improvement in Practice (NQuIP) tool was used to measure nurses' QI competence (knowledge, skills, and attitudes) and engagement in QI. 13 The tool also collects demographic data and assesses perceived barriers and facilitators to QI engagement. Preliminary testing has indicated that the tool has good reliability and validity.…”

Section: Methodsmentioning

confidence: 99%

Original Research: Exploring Frontline Nurses' Self-Perceived Levels of QI Engagement and QI Competence

Tschannen,

Alexander,

Bidisha

et al. 2023

AJN, American Journal of Nursing

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Background and purpose: Nurse engagement in quality improvement (QI) is critical in the delivery of safe high-quality care, yet few studies have evaluated frontline nurses in this area. The purpose of this study was to identify and compare levels of self-reported QI engagement and QI competence among frontline nurses and nurse leaders. Methods: This study used a cross-sectional descriptive design. A convenience sample of frontline nurses (bedside RNs and advanced practice nurses) and nurse leaders from acute and ambulatory care sites completed the Nursing Quality Improvement in Practice (NQuIP) tool, which measures engagement and competence (knowledge, skills, and attitudes) in QI. Results: Data from 6,351 surveys completed by frontline nurses and nurse leaders representing 66 sites nationwide were analyzed. Only 52.5% of all respondents reported participating in QI. Knowledge scores were relatively high, while skills scores—especially those related to using QI tools—were low. Overall attitudes toward QI were positive. Nurse leaders scored significantly higher in engagement and competence than the frontline nurses they supervise. Conclusions: The study findings indicate that nurse engagement in QI is limited. Although nurses' knowledge levels appear to be high, their limited competency in QI-related skills may contribute to low QI engagement. Leaders must make efforts to increase nurse engagement in order to attain high-quality outcomes. Using the NQuIP tool will allow leaders to evaluate nurses' self-perceived QI competence and engagement, which will aid in identifying target areas and developing effective strategies for improvement.

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“…The Nursing Quality Improvement in Practice (N-QuIP) tool, which assesses current knowledge, skills, and attitudes toward QI; levels of engagement in QI; and perceived barriers to and facilitators of engagement in QI, was utilized. 9 For purposes of this study, research questions were answered using two items from the N-QuIP tool. Specifically, respondents were asked to "select all that apply" from a predeveloped list of potential barriers, such as time constraints, heavy workload, and knowledge deficit, and facilitators, such as access to data, adequate resources, and leadership support for their participation in QI.…”

Section: Methodsmentioning

confidence: 99%